ObamaCare mandates every single fathomable detail of your health plans down to font sizes, margins and page numbers. Make a mistake and prepare to be fined.
PHS Act section 2719 requires non-grandfathered group health plans and health insurance issuers offering
nongrandfathered health insurance coverage to provide relevant notices in a culturally and linguistically
appropriate manner. The regulations implementing section 2719 require these plans and issuers to make
certain accommodations for notices sent to an address in a county meeting a threshold percentage of
people who are literate only in the same non-English language. This threshold percentage is set at 10
percent or more of the population residing in the claimant’s county, as determined based on American
Community Survey (ACS) data published by the United States Census Bureau. 26 C.F.R. § 54.9815-
2719T, 29 C.F.R. § 2590.715-2719, and 45 C.F.R. § 147.136.
Section 2715 of the PHS Act requires group health plans and health insurance issuers offering group and individual coverage to provide the summary of benefits and coverage (SBC) and uniform glossary in a culturally and linguistically appropriate manner. The regulations implementing section 2715 adopt the ten percent threshold set forth in the section 2719 implementing regulations. 26 C.F.R. § 54.9815-2715, 29 C.F.R. § 2590.715-2715, and 45 C.F.R. § 147.200.
The list below includes all counties which meet or exceed the 10 percent threshold for the 2007-2011 ACS data and is applicable for 2013. This list will be updated annually.
Here is the link to the PDF from CMS.
